SUSAN H GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009373

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

GREEN

Business Name

SUSAN H GREEN

Original Issue Date

02/21/1996

Effective Date

02/21/1996

Expiration Date

09/30/1998

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005